DR.RAMYA APPANRAJ

DR. NAGESHA CHOKKAHALLI KRISHNAPPA, DR. SARAVANAN V.R.

Abstract

Exophytic retinal granulomas are rare presentations and are usually secondary to tuberculosis or sarcoidosis. A 24-year-old male was referred for persistent posterior uveitis refractory to steroids and immunosuppressives. The lesion began with, focal retinitis like lesion and gradually progressed to an exophytic mass with total retinal detachment. Histological sample from the mass lesion showed an early granuloma-like picture on cytology. Tests for chronic granulomatous diseases and malignancies were negative. Eventually, the eye developed neovascular glaucoma. This case discusses the difficulty in ascertaining clinical and histological diagnosis in cases of retinal granulomas and the dilemmas in treatment options.